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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
International Congress on Integrative Medicine
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Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
November, 2001, Vol. 01, Issue 11
By Cliff Korn, BS, LMT, NCTMB
Did you look forward to going to work today? Were you attentive as you made up your table for your first client? Were you genuinely pleased to see that client come through the door? How about at the end of the day - were you just as pleased to see your last client of the day enter your place of business?
My guess is that if you're in your first year of practice, you answered, "yes" to all of these questions.If you're in your fifth year, it is probably less likely that your "yes" was quite as enthusiastic. If you've been practicing 10, 15 or 20 or more years, you might have to pause and think before answering. The premise I am using in all my following observations is that maintaining excitement and freshness in our practice is in our own best interest and the best interest of our clients.
Certainly a number of factors influence your specific responses to these questions. One factor is the body mechanics of the practitioner. I doubt you would look forward to caring for one more client if your own body was in pain from poor body mechanics. Another factor might be client load. More clients per day than your stamina can allow tends to lessen your ability to appropriately focus on additional clients. Likewise, too few clients may mean too much time on your hands, causing boredom.
I'm writing about the topic of excitement because I have observed a subtle change in the massage therapists I have encountered in the past month. The one thing that has changed seems to be the higher stress level of the typical client, the result no doubt of current world situations. In the week following September 11th, I noticed that massage therapists fell into two major groupings. The first had to force themselves to go to work. They preferred to stay in the apparent security of their homes, and they didn't want to see their clients or hear their clients' "petty" complaints of neck/back/shoulder discomfort when people were desperately wandering New York City with pictures of lost family members. The second group couldn't wait to get to work. They looked forward to spending time in an environment where they knew they could effectively participate in something. I'm not making value judgments about either group, as each was just responding to their own coping mechanisms and skills. Certainly if either of the coping methods were to continue, it would be problematic. The first group's practices would quickly dwindle because of lack of interest. The second group's practices also would likely diminish, because the therapeutic relationship would change to benefit the therapist instead of the client. As you know, clients don't like that much!
The higher client stress levels seem to have encouraged the therapists I know to reinvigorate themselves to help others cope. Hopefully this will reignite the fire of excitement these therapists have for their practices.
If the premise is that maintaining excitement and freshness in our practice is in the best interests of both our clients and ourselves, it behooves us to consider more of the things that aid that process. With job excitement, you believe that your work will be satisfying in the long run; you care about the quality of your work; and you are more committed to the therapist/client relationship and the profession as a whole.
An internet web search brings up much (and frequently conflicting) information on job excitement and satisfaction. However, there are many constants in this information that are directly attributable to a career in massage therapy. The "essence" of job satisfaction is to:
I certainly get all of these in my clinical practice! I can't imagine a massage setting that doesn't allow for all three of these items to occur regularly. Job satisfaction is not synonymous with complacency, but with enthusiasm! With enthusiasm, you can tackle each Monday morning with drive and ambition. Enthusiasm also minimizes the negatives that are always present in varying degrees. With enthusiasm, even negatives can be turned into opportunities for satisfaction. As an emotion, negative is stronger than positive: dissatisfaction seems to be more motivating than satisfaction. In our practices, this is manifested by our clients' reacting more visibly and immediately (e.g., booking appointments) to pain and/or dysfunction than to a pleasant stimulus.
Another "truism" of job satisfaction is that most workers like their work more if there is little minute-by-minute supervision of tasks. Massage therapy, in a treatment room environment, provides the practitioner such autonomy.
Our work has frequently been termed "intuitive." To a large extent, I think the better therapists among us have honed their intuitive skills to a high degree. However, I think that much of our job satisfaction is related to education. Education gives us the confidence to proceed to our full capacities, and enables us to expand our abilities. It makes it possible to become even more excited about our work. I don't know about you, but the more I learn, the more intuitive I become!
Some textbook-like issues that are particularly applicable to our profession infer that job excitement benefits from:
Right now, America needs us to be at the top of our game. It needs us to be looking forward to Monday morning. The tensions and stresses inherent in war, threats of war, invisible enemies and the unknown, make our unique skills more important now than they have ever been in the past. The strides that the industry had made in the past decades to educate consumers is now paying off as worried individuals seek out our services and abilities.
I'd love to hear how you keep your excitement level up. Please share your thoughts with others in our "We Get Letters & Email" section. And I hope every one of us can honestly answer "yes" to each of my opening paragraph questions!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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